Left Ventricular Aneurysm Repair with Endoaneurysmorrhaphy Technique: An Assessment of Two Different Ventriculotomy Closure Methods
Autor: | Çağatay Engin, Eldaniz Aliyev, Münevver Yüksel, Mustafa Özbaran, Ahmet Dolapoglu, Anil Z. Apaydin, Tahir Yagdi, Ilimbek Beketaev |
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Rok vydání: | 2016 |
Předmět: |
Diagnostic Imaging
Male Cardiac Catheterization medicine.medical_specialty Heart Ventricles medicine.medical_treatment 0206 medical engineering 02 engineering and technology Ventriculotomy Aneurysm Internal medicine 0202 electrical engineering electronic engineering information engineering medicine Humans cardiovascular diseases Myocardial infarction Cardiac Surgical Procedures Heart Aneurysm Aged Retrospective Studies Cardiac catheterization business.industry medicine.disease 020601 biomedical engineering Ventricular aneurysm Surgery medicine.anatomical_structure Left Ventricular Aneurysm Surgery Computer-Assisted Ventricle cardiovascular system Cardiology Female 020201 artificial intelligence & image processing Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Zdroj: | The Heart Surgery Forum. 19:054 |
ISSN: | 1522-6662 1098-3511 |
Popis: | Background: Left ventricular aneurysm is a serious mechanical complication of myocardial infarction and has an incidence of 10-35% after myocardial infarction. Ventricular aneurysm in patients with angina, heart failure, and ventricular arrhythmia should be surgically treated. Endoaneurysmorrhaphy is one of the repair techniques that results in better left ventricular geometry and function. After this surgical procedure the ventriculotomy is repaired either with Teflon felt strips or by direct suture of the epicardium. Methods: In this study, we described the postoperative early outcomes of two ventriculotomy closing techniques such as Teflon felt versus direct closure after aneurysm repair. This retrospective study included a total of 73 patients (mean age > 70 years) with left ventricular aneurysm, who underwent endoaneurysmorrhaphy repair between 1997 and 2009. All selected patients were divided into two groups according to the ventriculotomy closure technique either by Teflon felt or direct by epicardial closure. The pre-, intra-, and postoperative results of these patients were analyzed accordingly. Results: The postoperative early mortality rate and postoperative bleeding were not significantly different between the Teflon felt and primary closure groups (P = .246 and P = .371 respectively), but postoperative arrhythmias were significantly higher in the Teflon felt repair group (P = .049). Conclusion: Endoaneurysmorrhaphy is a better surgical technique in left ventricle aneurysm to restore the internal contour and preserve the surface anatomy of the ventricle. The ventriculotomy closure can be performed with two different approaches, including Teflon felt strips or by direct suture of the epicardium. Based on this study’s findings, two repair techniques have similar impact on the early outcomes. However, with overall outcomes with respect to Teflon felt repair, direct closure of the ventriculotomy after endoaneurysmorrhaphy was superior. |
Databáze: | OpenAIRE |
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